中医药靶向线粒体动力学防治骨质疏松研究进展
Research progress in the prevention and treatment of osteoporosis by targeting mitochondrial dynamics with traditional Chinese medicine
  
DOI:10.3969/j.issn.1006-7108.2025.01.017
中文关键词:  线粒体动力学  骨质疏松症  靶向治疗  中医中药
英文关键词:mitochondrial dynamics  osteoporosis  targeted therapy  traditional Chinese medicine
基金项目:甘肃省科技计划项目-联合科研基金一般项目(23JRRA1533);甘肃省自然科学 基金(22JR5RA628);国家中医药管理局高水平中医药重点学科项目(中医骨伤科学) (zyyzdxk-2023203)
作者单位
李盼盼1 邢涛2* 郭广宇1 钱朝良1 雷宁波2 杨博1 韩李霞1 张志龙1 王振鑫1 1.甘肃中医药大学甘肃 兰州 730000 2.甘肃省中医院甘肃 兰州 730050 
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中文摘要:
      骨质疏松症(osteoporosis,OP)是一种机体慢性代谢性骨疾病,主因机体骨质细胞内成骨与破骨平衡关系失衡而发生。线粒体是机体内为细胞活动提供能量的重要细胞器,能够调整和影响机体细胞内众多压力源和代谢需求,极大程度地影响着机体细胞的分化及死亡过程。线粒体动力学内涵了线粒体融合、分化裂变、自噬和转运的变化过程,这对OP的发生起着关键作用。当前研究表明,在人体正常生理情况下,线粒体动力学积极调控骨质细胞的成骨与破骨之间的平衡关系,对骨质状态的稳定起重要作用。反之,在病理情况下,线粒体动力学的障碍会打破成骨与破骨之间的平衡关系,相当程度上决定了OP的发生。因此在此背景下,线粒体动力学日益成为OP的靶向治疗研究热点。笔者查阅国内外相关文献,就线粒体动力学与OP的相关性及中医药靶向治疗作一综述,以期为进一步防治骨质疏松症提供参考和策略。
英文摘要:
      Osteoporosis, a chronic metabolic bone disease, occurs when the balance between bone formation and bone absorption is lost in the bone cells of the body. The mitochondrion is a key organelle in the body which provides energy for cellular activities and is capable of adapting and influencing numerous stresses and metabolic needs within the cell, resulting in the process of cell differentiation and cell death in the body. Mitochondrial dynamics encompasses the changes in mitochondrial fusion, differentiation and fission, autophagy, and transport, which plays a key role in the occurrence of OP. Current scientific research indicates that under normal physiological conditions, mitochondrial dynamics actively controls the balance between bone formation and bone absorption, which plays an important role in the stabilization of bone status. Conversely, in the pathological case, the obstacle of mitochondrial dynamics may break the equilibrium relationship between bone formation and bone absorption, which determines the occurrence of OP to a considerable extent. Therefore, in this context, mitochondrial dynamics has increasingly become a research hot spot in targeted therapy for OP. After reviewing the relevant literature at home and abroad, this article provides a review on the correlation between mitochondrial dynamics and OP and the targeted therapy with traditional Chinese medicine, with a view to provide references and strategies for further prevention and treatment of osteoporosis.
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